The IMG Bank — MRCP Part 1 Question Bank & Mock Exams
Free access opens 19 July · First 3 months free

MRCP Part 1 revision,
made visual.

High-yield visual cards, smart MCQs, recall tools, and mock practice — built for exam-focused revision.

Cardiology visual card — heart failure, HFrEF vs HFpEFHaematology visual card — iron deficiency anaemiaNeurology visual card — acute stroke pathway and FAST
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6,000+Original questions
17Blueprint specialties
15Full mock exams
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Try an MRCP-style question

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Question 1 / 5Gastroenterology
Gastroenterology & Hepatology
◴ Moderate◷ Best of five

A 58-year-old man is referred with three weeks of progressive abdominal distension and bilateral ankle swelling. He has drunk around 60 units of alcohol per week for two decades. On examination he has spider naevi, palmar erythema and gynaecomastia, with shifting dullness on percussion. He is afebrile and reports no abdominal pain.

A diagnostic ascitic tap is performed, with a serum albumin taken the same day:

InvestigationResult
Ascitic appearanceClear, straw-coloured
Ascitic albumin8 g/L
Serum albumin (same day)30 g/L
Ascitic total protein14 g/L
Ascitic neutrophils90 cells/mm³

Which is the single most likely underlying cause of his ascites?

Clincher

SAAG = serum albumin − ascitic albumin = 30 − 8 = 22 g/L. A high gradient (≥ 11 g/L) means portal hypertension; the stigmata of chronic liver disease point to cirrhosis.

Explanation — B, Cirrhosis with portal hypertension

The serum–ascites albumin gradient (SAAG) is the single most useful test for classifying ascites. Here SAAG = 30 − 8 = 22 g/L. A gradient of ≥ 11 g/L indicates portal hypertension, and the alcohol history plus spider naevi, palmar erythema and gynaecomastia make cirrhosis the cause. A low ascitic total protein (< 25 g/L) fits a transudative cirrhotic picture, and a neutrophil count < 250 cells/mm³ excludes infection.

Why the others are wrong
CSpontaneous bacterial peritonitis — diagnosed by an ascitic neutrophil count ≥ 250 cells/mm³; here it is only 90, and he is afebrile and pain-free.
ENephrotic syndrome — causes a low SAAG (< 11 g/L): ascites from hypoalbuminaemia, not portal hypertension, and you would expect heavy proteinuria.
DPeritoneal carcinomatosis — gives a low SAAG with a high ascitic protein, often with a bloody or high-cell-count tap.
APeritoneal tuberculosis — low SAAG, high protein and a lymphocyte-predominant tap, usually with fever, night sweats and weight loss.
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One image, one exam pearl. Each card turns a high-yield topic into a picture your brain actually keeps — built for pattern recognition, not walls of text.

Sample IMG Bank visual revision card — Neurology: restless legs syndrome
Visual Cards

A whole topic on a single, memorable card

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  • Pinch-to-zoom for signs, films, rashes, ECGs and diagrams.
Quick pearlSymptoms worse at rest and relieved by movement suggest restless legs syndrome.
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And Recall Cards to make it stick

Spaced-repetition flashcards straight from the bank — rate what you remember and the deck decides when you see it again.

Renal Medicine1 / 3
Tall, tented T waves on the ECG suggest which electrolyte emergency?
Recall Cards

Spaced repetition, built around the exam

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  • Forgot repeats after 5 cards; Unsure repeats after 10.
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Why you can trust the content

No recycled banks, no filler — and no invented statistics.

01 — Original

Written from scratch

Every question is mapped to the MRCP Part 1 blueprint and specialty weighting, never reworked from existing banks — so coverage matches the real paper.

02 — Teaching

Explanations that discriminate

Each answer names the deciding feature, breaks down why every distractor fails, and ends with high-yield key points — the way you actually learn.

03 — Independent

By a doctor, for the exam

Built by a doctor who's been through MRCP preparation. An independent educational platform — not affiliated with or endorsed by MRCP(UK) or the Royal College of Physicians.

Built for the exam, not just for content

Every tool is tuned to how MRCP Part 1 is actually examined.

Smart Question Bank

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15 Full Mock Exams

Split into 30 timed papers — 100 questions each, 3 hours per paper — with full explanations and an exam-readiness estimate.

The Codex

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Performance Analytics

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Smart Repair Coach

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Clinical Differentials

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Visual & Recall Cards

1,200+ image-based visual cards plus 3,000 spaced-repetition recall cards across all 17 specialties.

How it works

A simple cycle that turns questions into retained knowledge.

1

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3

Target weak areas

Analytics surface your weakest specialities against the blueprint, so you revise what actually moves your score.

Why The IMG Bank

What sets it apart from the banks everyone's already seen.

Original questions

Not the same recycled stems doing the rounds — fresh vignettes you won't have memorised.

Weighted to the blueprint

Question counts mirror the real exam's specialty weighting, so your practice matches the paper.

Built to teach

Discriminator-led explanations and clinchers, written for candidates sitting MRCP Part 1.

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Frequently asked

When does free access start?
Free access starts on 19 July 2026 and runs for 3 months until 19 October 2026. Join the waitlist to be emailed the moment it opens.
Are the questions original?
Yes. Every question is written from scratch and mapped to the MRCP Part 1 blueprint and specialty weighting — not reworked or copied from existing banks.
How is this different from other platforms?
Original questions weighted to the real blueprint, explanations built around the discriminating feature rather than a wall of text, and honest, student-friendly pricing.
Who is it for?
Any candidate sitting MRCP Part 1 — full coverage of all 17 specialty areas, so it works for any sitting.
How does pricing work?
Free for everyone until 19 October 2026. After that a free core tier remains, and Premium unlocks everything from £24.99 (4 months) or £34.99 (6 months) — the same fair price for everyone.
What happens after the free period?
Your account and progress stay exactly as they are. No card is required during free access — we'll clearly notify you before paid access begins, and you can cancel anytime.
Is it affiliated with the Royal College?
No. The IMG Bank is an independent educational platform, not affiliated with or endorsed by MRCP(UK), the Royal College of Physicians, or the Federation of Royal Colleges of Physicians of the UK. "MRCP" refers to the examination name; all content is original.

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